Customer Service Professional with Dispute Resolution Expertise
Resume:
North Las Vegas, NV ***** 702-***-**** ******@*****.***
SHARON NEWMAN
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities.
PROFESSIONA
L SUMMARY
SKILLS Verbal and written
communication
●
● Conflict Resolution
Training and
Development
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● Time management
● Sales proficiency
● Customer education
Proficient in MS
programs
●
Written
Communication
●
● MS Office
● Computer Skills
● AVAYA PHONE
● VPN
● Flexible and Adaptable
Organization and Time
Management
●
Coaching and
mentoring
●
Operations
management
●
Mathematical
calculations
●
Policies and
procedures
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● Staff Management
● Sales and Marketing
Phone time
management
●
Billing Dispute
Resolution
●
Medical Billing and
Collections
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● Claims Processing
Billing Data
Verification
●
Services Rendered
Documentation
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Check Inspection and
Validation
●
Financial
Documentation
●
Verbal and Written
Communication
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● Billing and Invoicing
● Coding Proficiency
● Inquiry Handling
● Process Monitoring
● Microsoft Office
● Dispute Negotiation
● Word Processing
● 10-Key Data Entry
● CRM Software
WORK CLIENT REPRESENTATIVE 01/2024 to 04/2024
American Modern Insurance Group Claims Administration CUSTOMER SERVICE REPRESENTATIVE 09/2023 to 01/2024 Foundever Property, Las Vegas, NV
MEDICAL INSURANCE SPECIALIST 12/2022 to 07/2023
Sbl Enterprise Staffing, Las Vegas, NV
HISTORY
Improved overall client experience by proactively identifying potential issues and resolving them before escalation.
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Served as the primary point of contact for escalated issues, deftly navigating challenging situations to achieve satisfactory resolutions while preserving client trust and satisfaction.
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● Handled customer inquiries and suggestions courteously and professionally. Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
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Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
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● Answered constant flow of customer calls with minimal wait times.
● Answered customer telephone calls promptly to avoid on-hold wait times.
● Updated account information to maintain customer records. Responded to customer requests for products, services, and company information.
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Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
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Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
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Followed up on denials, late payments, extensions and other special circumstances.
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● Resolved discrepancies in insurance payments by collaborating with carriers.
● Utilized Software to document and track customer account details. Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
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Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
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● Enhanced data accuracy by meticulously updating patient records and MEDICAL INSURANCE SPECIALIST 05/2022 to 11/2022
ASK Staffing, Inc, Las Vegas, NV
CUSTOMER SERVICE REPRESENTATIVE 10/2021 to 03/2022 Pyramid Staffing, Las Vegas, NV
insurance information in the system.
Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
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Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
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Coordinated across departments to ensure seamless communication regarding patient accounts, claim statuses, and dispute resolutions.
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Maintained detailed case files, facilitating easy retrieval of information for future reference or audits.
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Managed high call volume while maintaining accuracy and professionalism in documentation of interactions with customers.
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Expedited resolution of customer concerns, providing exceptional service through clear communication and active listening skills.
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Supported the establishment of payment plans for patients struggling financially, demonstrating empathy while adhering to company guidelines on debt collection.
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Improved patient satisfaction by efficiently processing medical insurance claims and addressing inquiries.
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Collaborated with healthcare providers to resolve billing discrepancies, fostering positive relationships between parties involved.
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● Handled customer inquiries and suggestions courteously and professionally. Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
●
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
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Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
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● Answered constant flow of customer calls with minimal wait times.
● Answered customer telephone calls promptly to avoid on-hold wait times.
● Updated account information to maintain customer records. CLIENT SERVICE REPRESENTATIVE 03/2021 to 09/2021
Centene, Las Vegas, NV
Responded to customer calls and emails to answer questions about products and services.
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Managed incoming calls, providing prompt and accurate information to clients about products and services.
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Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.
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Handled sensitive client information with discretion, ensuring confidentiality at all times.
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College of Southern Nevada, Las Vegas, NV
Expected in 05/2025, Masters In International Economics : Business Logistic Academy of Hair Design, Las Vegas, NV
06/2016, Licensed Nail Technician : Cosmetology
EDUCATION
ACCOMPLISHM
ENTS
Maximized profits by reducing
expenses, renegotiating contracts,
and streamlining operations
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Used Microsoft Excel to develop
inventory tracking spreadsheets
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Contact this candidate